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- South African Journal of Obstetrics and Gynaecology
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- Volume 17, Issue 1, 2011
South African Journal of Obstetrics and Gynaecology - Volume 17, Issue 1, 2011
Volume 17, Issue 1, 2011
Author H.S. CronjeSource: South African Journal of Obstetrics and Gynaecology 17, pp 1 –15 (2011)More Less
In an interesting article published in this edition of SAJOG, Adam and co-workers look at the differences between gynaecologists and urologists with regard to management of the posterior pelvic compartment. Compared with urologists, gynaecologists saw more patients with disorders of the posterior compartment and performed more surgical procedures in this area. However, when it came to surgery, urologists inserted a mesh with sacrospinous ligament fixation much more frequently than gynaecologists (58% v. 17%). The findings reported in this article raise two questions: why do urologists use mesh so much more often, and is it ethically acceptable that urologists manage disorders of the posterior compartment?
Do urologists and gynaecologists manage posterior compartment prolapse differently? : original articleSource: South African Journal of Obstetrics and Gynaecology 17, pp 4 –8 (2011)More Less
Introduction and hypothesis. A comparative study assessing the management of posterior compartment prolapse (PCP) by gynaecologists and urologists in South Africa.
Methods. Questionnaires relating to the above procedures were posted to a nationwide random selection of urologists and gynaecologists.
Results. Of 500 questionnaires 106 (21%) were returned, 26 from urologists and 80 from gynaecologists. Urologists performed fewer PCP procedures, with 73% (N=19) doing less than one case per month; 58% of the urologists who indicated their procedure of choice would use a mesh kit. Of the gynaecologists, 60% (N=48) performed at least 5 procedures per month. Vaginal hysterectomy was not used in the management of prolapse by any of the responding urologists, compared with 82% (N=66) of the gynaecologists. In defining a successful outcome, only 12% (N=3) of the urologists and 14 % (N=11) of the gynaecologists mentioned sexual function, while 46% (N=12) of the urologists and 37% (N=30) of the gynaecologists mentioned bowel function.
Conclusion. Urologists use significantly more mesh kits and gynaecologists perform more traditional repairs.
Follow-up and hysteroscopic evaluation of the uterine cavity after hysteroscopic polypectomy : original articleSource: South African Journal of Obstetrics and Gynaecology 17, pp 10 –13 (2011)More Less
Objective. To assess the results of resection of endometrial polyps by means of diagnostic hysteroscopy.
Material and methods. This was a prospective long-term follow-up study in a tertiary teaching hospital. A total of 102 patients were included, of whom 83 completed follow-up.
Results. Eighty-three patients (81.4%) completed follow-up and underwent hysteroscopic evaluation. The recurrence rate was 2.5% (2/83) and the pregnancy rate after hysteroscopic polypectomy 60.9% (14/23). Further treatment was needed in 3 patients in the premenopausal group.
Conclusions. Hysteroscopic resection of endometrial polyps is safe and effective, and should be encouraged. With regard to treatment of infertility, results were promising. A levonorgestrel-releasing intra-uterine device can be considered when polyps recur or menstrual abnormalities persist.
Source: South African Journal of Obstetrics and Gynaecology 17, pp 14 –15 (2011)More Less
The necessity of incorporating gynaecological tests in antiretroviral therapy packages - case observations : scientific letterSource: South African Journal of Obstetrics and Gynaecology 17, pp 16 –17 (2011)More Less
To the Editor: In resource-limited settings, patients on antiretroviral therapy (ART) often do not have access to gynaecological tests and consultations. A number of these patients have gynaecological problems that require attention, and since most of the doctors taking care of the patients are not specialist gynaecologists, important gynaecological conditions are not taken care of adequately. Consequently, some of the patients present with advanced gynaecological disease.
Early discharge from hospital after caesarean section at Chris Hani Baragwanath Hospital : scientific letterSource: South African Journal of Obstetrics and Gynaecology 17, pp 17 –18 (2011)More Less
To the Editor: It has become common practice to discharge women from hospital early after caesarean section, to satisfy their wishes or to reduce workload. This practice has not been evaluated in South Africa. We undertook this study to find out if discharge from hospital on the 2nd postoperative day after uncomplicated caesarean section was acceptable to women, and to what extent it was followed by adverse clinical outcomes. Only one such study has been performed in Africa, in which Nigerian women were discharged on the 3rd instead of the usual 7th postoperative day, with good results. No studies from Africa have investigated discharge from hospital on the 2nd postoperative day, although there have been reports of good outcomes from high-income countries. The objectives of this study were to determine women's satisfaction, and rates of wound infection, maternal readmission, infant readmission and early postnatal depression.
Oocyte cryopreservation - relevance for all medical practitioners in South Africa : scientific letterSource: South African Journal of Obstetrics and Gynaecology 17, pp 19 –20 (2011)More Less
Author James DrifeSource: South African Journal of Obstetrics and Gynaecology 17 (2011)More Less
Among my childhood ambitions, besides wanting to play cricket for Scotland, win a Nobel prize and make a hit record, was a vague plan to become a member of Parliament. I took the initial steps towards the first three - bowling at stumps in the garden, reading the Children's Encyclopaedia and doing five-finger exercises - but soon the excuses began. The grass was too wet. The piano was in the coldest room in the house. And, really, Nobel laureates had to be ridiculously brainy. I had realised that as well as putting in hard work, you need some natural talent.